Avoid Mosquito Bites
Are you planning international travel to the tropics? Protect yourself and your family from mosquito bites that can make you sick.
Mosquito bites can be more than just annoying and itchy. They can make you really sick. Protect yourself and your family when traveling overseas. Wearing insect repellent is the best way to prevent diseases spread by mosquitoes.
The most common symptoms of chikungunya virus infection (chikungunya) are sudden onset of a high fever and joint pain. Other symptoms may include headache, muscle pain, joint swelling, or rash. Infection with chikungunya virus is rarely fatal, but the joint pain can often be severe and debilitating. Most patients recover in about a week, although long-term joint pain occurs in some people. Infection is thought to provide lifelong immunity. Outbreaks have occurred in countries in Africa, Asia, Europe, and the Indian and Pacific Oceans.
In late 2013, chikungunya virus was found for the first time in the Americas on islands in the Caribbean. Since then, almost 2 million cases have been reported. There is no vaccine to prevent or medicine to treat chikungunya. Mosquitoes become infected when they bite someone already infected with the virus. Infected mosquitoes can then spread the virus to other people. Though chikungunya is not common in the continental United States, Puerto Rico and the U.S. Virgin Islands have had large outbreaks.
Planning a getaway? Don’t forget to pack your insect repellent!
Forty percent of the world's population lives in an area at risk for dengue and an estimated 390 million people per year are infected with the viruses. Dengue is a disease caused by one of four viruses: dengue virus 1, 2, 3, and 4. Because there are four different viruses, it is possible for someone to get dengue up to four times. Dengue is a leading cause of illness and death in the tropics and subtropics.
Like chikungunya, there is no vaccine to prevent or medication to treat a dengue infection. Most infected people infected with dengue have mild or no symptoms. About one in four people who are infected with dengue will develop some symptoms of disease. Mild symptoms of infection begin with a fever and severe headache, pain behind the eyes, joint and muscle pain, and rash. Dengue symptoms can quickly become severe and even fatal. Early recognition of severe disease, followed by close management by a healthcare provider is critical.
Zika virus is spread to people through mosquito bites. The most common symptoms of Zika virus disease (Zika) are fever, rash, joint pain, and conjunctivitis (red eyes). The illness is usually mild with symptoms that last from several days to a week. Severe disease requiring hospitalization is uncommon, and deaths from Zika are very rare.
CDC has issued a travel notice (Level 2 alert-Practice Enhanced Precautions) for people traveling to places with Zika virus.
Because Zika has been linked to birth defects in women infected during pregnancy, CDC recommends the following:
- Pregnant women should not travel to areas with Zika . Pregnant women who must travel to one of these areas should talk to their doctor first and strictly follow steps to prevent mosquito bites during the trip.
- Women trying to become pregnant, and their male partners, should consult with their doctor before traveling to these areas and strictly follow steps to prevent mosquito bites during the trip.
- Men who have lived in or traveled to an area with Zika and who have a pregnant partner should either use condoms or not have sex (vaginal, anal, or oral) during the pregnancy.
Like chikungunya and dengue, there is no medicine for Zika. Travelers can protect themselves from this disease by taking steps to prevent mosquito bites. When traveling to areas with Zika (see map) or other viruses spread by mosquitoes have been reported, use EPA-registered insect repellent, wear long-sleeved shirts and long pants, and stay in places with air conditioning or that use window and door screens. Travelers returning to the United States from an area with Zika should take steps to prevent mosquito bites for 3 weeks so they do not spread Zika to uninfected mosquitoes.
When used as directed, insect repellents are the BEST way to protect yourself and family members from getting sick from mosquito bites.
How do I protect myself from mosquito bites?
- Wear insect repellent: Yes! It is safe. When used as directed, insect repellent is the BEST way to protect yourself from mosquito bites—even children and pregnant women should protect themselves. Higher percentages of active ingredient provide longer lasting protection.
- DEET: Products containing DEET include Cutter, OFF!, Skintastic.
- Picaridin (also known as KBR 3023, Bayrepel, and icaridin): Products containing picaridin include Cutter Advanced, Skin So Soft Bug Guard Plus, and Autan outside the United States).
- Oil of lemon eucalyptus (OLE) or PMD: Repel contains OLE.
- IR3535: Products containing IR3535 include Skin So Soft Bug Guard Plus Expedition and SkinSmart.
- Cover up: When weather permits, wear long-sleeved shirts and pants.
- Keep mosquitoes outside: Use air conditioning or make sure that you repair and use window/door screens.
Planning a trip? Do your homework before traveling.
Make a check list of everything you'll need for an enjoyable vacation and use the following resources to help you prepare.
- Pack a travel health kit. Remember insect repellent and use it to prevent mosquito bites.
- Learn about destination-specific health risks and recommendations by visiting CDC Travelers' Health website.
- See a healthcare provider familiar with travel medicine, ideally four to six weeks before your trip. Go to the Find a Clinic webpage for help in finding a travel medicine clinic near you.
Whether you and your family are staying at home or heading overseas, remember to wear your insect repellent.
Tips on preventing mosquito bites when traveling
Mosquito bites are bothersome enough, but when you consider risks such as chikungunya, dengue, and Zika viruses, it's important that you choose products that work well and that you feel comfortable regularly using.
- Protect yourself when traveling: Learn about country-specific travel advice, health risks, and how to stay safe by visiting CDC Travelers' Health website.
- Wear an insect repellent registered by the Environmental Protection Agency: Use insect repellent or wear protective clothing wherever mosquitoes are found. Repellents containing DEET, picaridin, IR3535, oil of lemon eucalyptus and para-menthane-diol products provide long-lasting protection. Learn more about how you can avoid bug bites.
- Keep mosquitoes outside. Use air conditioning or make sure that there are window/door screens where you stay. If you are not able to protect yourself from mosquitoes inside your home or hotel, sleep under a mosquito bed net.
Visit your healthcare provider right away if you develop a fever, headache, rash, muscle or joint pain.
- Tell your doctor about your recent international travel.
- Visit the Getting Sick after Travel webpage for more information.
- Page last reviewed: March 18, 2016
- Page last updated: March 18, 2016
- Content source:
- National Center for Emerging, Zoonotic, and Infectious Diseases, Division of Vector-Borne Diseases
- Page maintained by: Office of the Associate Director for Communication, Digital Media Branch, Division of Public Affairs